Turunen Elina, Miettinen Merja, Setälä Leena, Vehviläinen-Julkunen Katri
J Perianesth Nurs. 2019 Feb;34(1):97-107. doi: 10.1016/j.jopan.2017.09.014. Epub 2018 Apr 17.
Surgery cancellations cause harm to patients, extra work for preoperative staff, and financial loss for organizations. Day of surgery cancellations are a widely used indicator for operative effectiveness, but there is a lack of knowledge concerning the effects of cancellations during earlier stages of a patient's preoperative waiting period. The purpose of this study was to measure the reasons, frequencies, and timing of elective surgery cancellations after scheduling.
Qualitative prospective follow-up study.
Data were collected during a 2-month period in 13 operative specialties by a semistructured follow-up form and analyzed by inductive content analyses and statistical methods.
Most of the cancellations occurred before the day of surgery and appeared because patients were not in a suitable condition for the planned operation or because of lack of organizational resources.
More attention should be focused on patients' suitability and organizational resources in earlier stages of preoperative period.
手术取消会对患者造成伤害，给术前工作人员带来额外工作，并给机构造成经济损失。手术当天取消是衡量手术效果的一个广泛使用的指标，但对于患者术前等待期早期取消手术的影响缺乏了解。本研究的目的是测量择期手术安排后取消的原因、频率和时间。
定性前瞻性随访研究。
通过半结构化随访表在13个手术专科的2个月期间收集数据，并通过归纳性内容分析和统计方法进行分析。
大多数取消发生在手术当天之前，原因是患者不适合进行计划的手术或缺乏组织资源。
在术前早期阶段应更加关注患者的适宜性和组织资源。
